Over the past 30 years, our health care system has done a good job at raising awareness about cervical cancer risks. Regular, annual PAP smears have dramatically reduced deaths from cervical cancer in the past two decades. But a few years ago, amid controversy, the American College of Obstetricians and Gynecologists revised its PAP screening recommendations— women were told they only needed PAP screenings once every 2– 3 years, depending on individual risk factors, as opposed to the previous recommendation of once annually. I tell most of my married patients ( or those in committed relationships) that they no longer need annual PAPs. However, I offer a pelvic exam to palpate the ovaries every 2– 3 years, particularly during ages 40– 60 when ovarian cancer, for which there is still no good screening test, peaks.